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Individual

AHMAD MINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
1600 CRAIN HWY S STE 408, GLEN BURNIE, MD 21061-6437
(410) 424-2237
Mailing address
12910 MORAY RD, SILVER SPRING, MD 20906-4242
(202) 495-8320

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R207479
MD

Other

Enumeration date
11/28/2018
Last updated
01/23/2019
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